| NPI | 1104149897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LYZEN CFO 330-745-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 77190692) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-12-08 |